text: The different clinical uses of glass ionomer compounds as restorative materials include;
  * Cermets, which are essentially metal reinforced, glass ionomer cements, used to aid in restoring tooth loss as a result of decay or cavities to the tooth surfaces near the gingival margin, or the tooth roots, though cermets can be incorporated at other sites on various teeth, depending on the function required. They maintain adhesion to enamel and dentine and have an identical setting reaction to other glass ionomers. The development of cermets is an attempt to improve the mechanical properties of glass ionomers, particularly brittleness and abrasion resistance by incorporating metals such as silver, tin, gold and titanium. The use of these materials with glass ionomers appears to increase the value of compressive strength and fatigue limit as compared to conventional glass ionomer, however there is no marked difference in the flexural strength and resistance to abrasive wear as compared to glass ionomers.
  *Dentine surface treatment, which can be performed with glass ionomer cements as the cement has adhesive characteristics which may be useful when placed in undercut cavities. The surfaces on which the glass cement ionomers are placed would be adequately prepared by removing the precipitated salivary proteins, present from saliva as this would greatly reduce the receptiveness of the glass ionomer cement and dentine surface, to bond formation. A number of different substances can be used to remove this element, such as citric acid, however the most effective substance seems to be polyacrylic acid, which is applied to the tooth surface for 30 seconds before it is washed off. The tooth is then dried to ensure the surface is receptive to bond formation but care is taken to ensure desiccation does not occur.
  * Matrix techniques with glass ionomers, which are used to aid in proximal cavity restorations of anterior teeth. Between the teeth that are adjacent to the cavity, the matrix is inserted, commonly before any dentine surface conditioning. Once the material is inserted in excess, the matrix is placed around the tooth root and kept in place with the help of firm digital pressure while the material sets. Once set, the matrix can be carefully removed using a sharp probe or excavator.
  * Fissure sealants, which involve the use of glass ionomers as the materials can be mixed to achieve a certain fluid consistency and viscosity that allows the cement to sink into fissures and pits located in posterior teeth and fill these spaces which pose as a site for caries risk, thereby reducing the risk of caries manifesting.
  * Orthodontic brackets, which can involve the use of glass ionomer cements as an adhesive cement that forms strong chemical bonds between the enamel and the many metals which are used in orthodontic brackets such as stainless steel.
  * Fluoride varnishes have been combined with sealant application in the prevention of dental caries. There is low certainty evidence that the combined usage of both increases the overall effectiveness as compared to using fluoride varnish alone.